Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1790900330 Deactivated / Inactive NPI Female Practitioner

Marilyn Annette Wilson , QMHA

Counselor • Pendleton, OR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Marilyn Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 17, 2007
NPI Deactivation Date December 15, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Marilyn Wilson, QMHA was a registered Counselor practicing in Pendleton, OR. Throughout an active medical career spanning 14 years, Marilyn Wilson provided care at the practice location at 331 SE 2ND ST until profile deactivation on 2021-12-15.

Practice Location & Contact Primary Location

Practice Address

331 Se 2nd St

Pendleton, OR 978012224

Telephone 5412766207
Fax 5412764628
Associated Practice Facility / Clinic
🏢 Lifeways, Inc Facility NPI 1932295326

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Pendleton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
93 Specialists

Practicing in Pendleton, OR (4551 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003330531
NPI 1003341553
Lora Hattaway

Case Manager/Care Coordinator

NPI 1003495524
James Gourlie , QMHA

Counselor - Mental Health

NPI 1003663188
NPI 1013377357
Madyson Warr

Community Health Worker

NPI 1013646447

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 15, 2021

Record deactivated on December 15, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 331 SE 2ND ST, PENDLETON, OR 978012224 (Tel: 5412766207)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 1290, ONTARIO, OR 979140136 (Tel: 5418899167)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MARILYN WILSON, QMHA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

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Initial NPI Registration & Enumeration April 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790900330
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2007
Last Update: July 08, 2007
Deactivation Date: December 15, 2021

Mailing Address

Po Box 1290

Ontario, OR 979140136

Phone: 5418899167

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.